This study, using the number of chewing strokes during mastication before the first swallowing as an index, investigated the relationships between the number of chewing strokes during mastication and physique in adults and the elderly, and clarified the age differences associated with the above relationships. The study involved 614 subjects (230 males and 384 females) who participated in a survey conducted in Joetsu City, Japan in 2009 and 2010. Rice crackers were used to measure the number of chewing strokes during mastication, and the subjects were divided into the following 3 groups based on the number of chewing strokes: <24, 25 to 30, and >31 strokes. From the results of body measurement, the subjects were defined as showing an accumulation of visceral fat (male: waist circumference ≥85cm or waist circumference <85cm and BMI≥25kg/m^2, female: waist circumference ≥90cm or waist circumference <90 and BMI ≥25kg/m
2), obesity (BMI ≥25kg/m
2), and thinness (BMI<18kg/m
2). The subjects were then categorized by age (adults: 20-64 years old, elderly: 65-89 years old) and gender. The relationships between the number of chewing strokes during mastication and physique were evaluated employing logistic regression analysis. The primary outcomes of the analysis were an accumulation of visceral fat, obesity, and thinness. The principal exposure variable included the number of chewing strokes during mastication (3 categories). Tested potential confounders included the number of teeth present and a smoking habit. Using the group with 25-30 strokes as a referent group, adult males in the groups with ≤24 and ≥31 strokes showed significantly high odds ratios (ORs) for visceral fat accumulation (OR [95% confidence interval]=6.89 [1.63-29.1], and OR=6.17 [1.39-27.3], respectively). Adult males in the two groups also showed significantly high ORs for obesity (OR [95% confidence interval]=7.33 [1.42-37.8] and OR=8.09 [1.50-43.7], respectively). Using the group with &kge;30 strokes as a referent group, elderly males in the group with ≥31 strokes showed a significant high OR for thinness (OR [95% confidence interval]=5.76 [1.17-28.4]). The study results suggest that the relationships between the number of chewing strokes during mastication and physique differ in adults and elderly males.
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